- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $970.00 / $6,085.00 / $30,683.70
| Facility | | $970.00 | $6,085.00 | $30,683.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,466.25 / $23,141.51 / $39,180.56
| Facility | | $18,466.25 | $23,141.51 | $39,180.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $23,917.24 / $37,391.81
| Facility | | $2,089.36 | $23,917.24 | $37,391.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,262.18 / $30,506.48 / $40,763.57
| Facility | | $18,262.18 | $30,506.48 | $40,763.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,706.04 / $31,926.50 / $48,906.28
| Facility | | $20,706.04 | $31,926.50 | $48,906.28 |